NameEmail AddressPhoneHas your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?YesNoDo you feel pain in your chest when you do physical activity?YesNoIn the past month, have you had chest pain when you were not doing physical activity?YesNoDo you lose your balance because of dizziness or do you ever lose consciousness?YesNoDo you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?YesNoIs your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?YesNoWhat would you like to work on?weight lossgeneral fitnessstrengthtoningenduranceaerobic conditioningflexibilityotherWhat is your current fitness level?BeginnerIntermediateAdvancedWhat is your age?What are your top 3 goals?What is your current physical activity? (active job, any current exercise)Do you have any injuries, medical conditions, or restrictions I need to be aware of? List belowWhat will motivate you to achieve your goals?Where will you be working out and what equipment do you have available to use? (gym/home, dumbbells, resistance bands, treadmill, etc) *equipment is not required (only for personalized workout program or training at your home)How many days a week are you able to commit to exercise? (if you have specific days of the week please list them)How much time are you able to commit per workout?What else is important that I should know or anything else you would like to share?I agree to the terms and conditions(https://morganholben.com/training-and-coaching-terms-and-conditions/) *I agree to the terms and conditionsI do not agree to the terms and conditionsSend Message